Healthcare Provider Details

I. General information

NPI: 1285503540
Provider Name (Legal Business Name): VASS MEDICAL SPECIALISTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2025
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 N ASHLAND AVE APT 1N
CHICAGO IL
60622-5684
US

IV. Provider business mailing address

830 N ASHLAND AVE APT 1N
CHICAGO IL
60622-5684
US

V. Phone/Fax

Practice location:
  • Phone: 773-280-7001
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: SAMIP MORKER
Title or Position: MEMBER
Credential: DO
Phone: 773-280-7001